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Titolo:
PORTAL-VEIN THROMBOSIS AND CIRRHOSIS - US E OF ULTRASOUND-GUIDED BIOPSY OF THE THROMBUS
Autore:
DUCHMANN JC; JOLY JP; BINY JP; SEVESTRE H; CAPRON JP;
Indirizzi:
CHU NORD,SERV HEPATOGASTROENTEROL,1 PL VICTOR PAUCHET F-80054 AMIENS 01 FRANCE CHU NORD,SERV HEPATOGASTROENTEROL F-80000 AMIENS FRANCE CHU NORD,ANAT & CYTOL PATHOL LAB F-80000 AMIENS FRANCE
Titolo Testata:
Gastroenterologie clinique et biologique
fascicolo: 6-7, volume: 19, anno: 1995,
pagine: 581 - 586
SICI:
0399-8320(1995)19:6-7<581:PTAC-U>2.0.ZU;2-6
Fonte:
ISI
Lingua:
FRE
Soggetto:
NEEDLE ASPIRATION BIOPSY; HEPATOCELLULAR-CARCINOMA; LIVER-TRANSPLANTATION; RETROSPECTIVE ANALYSIS; DIAGNOSIS; ULTRASONOGRAPHY; ANGIOGRAPHY; SONOGRAPHY; INJECTION;
Keywords:
CIRRHOSIS; HEPATOCELLULAR CARCINOMA; ULTRASONOGRAPHY; PORTAL VEIN THROMBOSIS; ULTRASOUND GUIDED BIOPSY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
42
Recensione:
Indirizzi per estratti:
Citazione:
J.C. Duchmann et al., "PORTAL-VEIN THROMBOSIS AND CIRRHOSIS - US E OF ULTRASOUND-GUIDED BIOPSY OF THE THROMBUS", Gastroenterologie clinique et biologique, 19(6-7), 1995, pp. 581-586

Abstract

Objectives and methods. - Portal vein thrombosis which occurs in the course of cirrhosis, associated or not with hepatocellular carcinoma, can be either cruoric or neoplastic. The aim of this study was to assess the feasibility and the results of ultrasound guided biopsy of portal vein thrombosis in 21 patients with cirrhosis (20 men and 1 woman; mean age 66 +/- 9 years), who were hospitalized between May 1989 and November 1993. Ultrasound guided biopsies of the cirrhotic liver, of the portal vein thrombosis and, when present, of a hepatic nodular lesion were performed. The diagnosis of hepatocellular carcinoma was made if the histological examination of the hepatic and portal biopsy samples were positive or if serum concentrations of alpha-fetoprotein were higher than 500 IU/mL. Results. - All portal vein thrombosis biopsies were successfully performed. No side-effects were observed. Before ultrasound guided biopsy of the portal thrombosis, diagnosis of hepatocellular carcinoma was made in 15 cases, and diagnosis of cirrhosis in 6 cases. After histological era mination of the portal sample, hepatocellular carcinoma was diagnosed in 19 cases and cirrhosis in 2 cases. Thus, in 19 % of cases, ultrasound guided biopsy of the portal thrombus provided a definitive diagnosis. Conclusion. - Ultrasound guided biopsyof the portal vein thrombosis must be performed before liver transplantation for cirrhosis or hepatocellular carcinoma to exclude the presence of a vascular neoplastic extension.

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Documento generato il 10/07/20 alle ore 14:44:41